NPI Profile for TYRONE ROGERS in CUMMING, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1376686527 |
|
| Status | Active | |
| Credentials | CSA | |
| Entity | Individual | |
| Enumeration date | 02/15/2007 | |
| Last updated | 02/11/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |